Evidence map›Paper›PMID 34431585›Full record

ArticleCancer science2021

Real-world safety of nivolumab in patients with non-small-cell lung cancer in Japan: Postmarketing surveillance.

Nobuyuki Yamamoto, Yoichi Nakanishi, Akihiko Gemma, Kazuhiko Nakagawa, Takahiko Sakamoto, Ayumi Akamatsu, Yuichiro Ohe

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Cancer science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
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  19. Pulmonary adverse events following immune checkpoint inhibitors.Current opinion in pulmonary medicine · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 6 institutions in 1 country.

Nobuyuki YamamotoWakayama Medical University, Wakayama, Japan.
Yoichi NakanishiResearch Institute for Diseases of the Chest, Graduate School of Medicine, Kyushu University, Fukuoka, Japan.
Akihiko GemmaNippon Medical School, Tokyo, Japan.
Kazuhiko NakagawaKindai University Hospital, Osaka, Japan.
Takahiko SakamotoOno Pharmaceutical Co., Ltd., Osaka, Japan.ORCID https://orcid.org/0000-0002-3518-9574
Ayumi AkamatsuOno Pharmaceutical Co., Ltd., Osaka, Japan.
Yuichiro OheNational Cancer Center Hospital, Tokyo, Japan.ORCID https://orcid.org/0000-0002-6137-073X
Ono Pharmaceutical (Japan) · JPKindai University Hospital · JPKyushu University · JPNippon Medical School · JPTokyo National Hospital · JPWakayama Medical University · JP

Funding

Bristol-Myers Squibb K.KOno Pharmaceutical Co., Ltd.
6 · The paper itself

Abstract

Postmarketing surveillance of Japanese patients with unresectable, previously treated, advanced or recurrent non-small-cell lung cancer treated with nivolumab was undertaken during the conditional approval period. The study aim was to evaluate the occurrence of treatment-related adverse events of nivolumab in the real world. Patients were registered between December 2015 and March 2016 at 536 sites. Nivolumab was given intravenously (3 mg/kg every 2 weeks); the observation period was 12 months after the first dose of nivolumab. Patients were evaluated for safety (n = 3601; 18.2% ≥75 years, 22.4% ECOG performance status ≥2) and effectiveness (n = 3570). The frequencies of any grade and grade 3 or higher treatment-related adverse events were 47.1% and 15.9%, respectively. The most frequent treatment-related adverse events (any grade) were interstitial lung disease (6.4%), hypothyroidism (5.7%), and diarrhea (4.4%). Treatment-related adverse events of special interest (priority items) occurring at a frequency of 5% or more were adverse events related to interstitial lung disease, thyroid dysfunction, liver dysfunction, colitis/severe diarrhea, infusion reaction, and infusion reaction within 24 hours. Significant risk factors for these priority items were identified by competing risk analysis: interstitial lung disease (previous/comorbid interstitial lung disease, abnormal findings on chest imaging, and smoking history); liver dysfunction (previous/comorbid liver disease, smoking history, and metastasis); thyroid dysfunction (previous/comorbid thyroid disease and performance status); and colitis/severe diarrhea (treatment line 2 vs ≥3). The 12-month survival rate was 40.7%. In conclusion, the safety profile of nivolumab in this postmarketing surveillance was similar to that in clinical trials, and no new safety signals were identified. The study was registered with the Japan Pharmaceutical Information Center (clinicaltrials.jp: Japic-163271).

Indexed as

Product Surveillance, PostmarketingAgedAged, 80 and overAntineoplastic Agents, ImmunologicalCarcinoma, Non-Small-Cell LungDiarrheaDrug Administration ScheduleFemaleHumansHypothyroidismJapanLung Diseases, InterstitialLung NeoplasmsMaleMiddle AgedNeoplasm Recurrence, LocalAntineoplastic Agents, ImmunologicalNivolumabJapannivolumabnon-small-cell lung cancerpostmarketing surveillancereal-world data

Identifiers

PMID34431585
PMCPMC8586674
OpenAlexW3194778607

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.